Wednesday, June 2, 2010
I know I talk a lot about Luna's eye drops and how I need a spreadsheet to keep track of them all, but I don't think I have shared a recent rundown of all the eye medicines she takes. But before I list all of her medicines, I think it would be helpful to list what ails her.
Diagnoses Right Eye
Diagnoses Left Eye
And to combat the above issues Luna is on the following drops:
- Tacrolimis 0.03%: 1 drop in the left eye, 2 times a day
- Cyclosporine 1%: 1 drop in both eyes, 2 times a day
- Pilocarpine 0.2%: 1 drop in the right eye, 2 times a day
- KCS Solution/NPD: 1 drop in the left eye every other day, 1 drop in the right eye 2 times a day
- Genteal Gel: As needed
Once I learn the routine, keeping track of the number of times each day she gets a drop is not a problem. I mainly get confused in determing if it is an "every" or an "other" day. I used to make a spreadsheet but that got too tedious. Then I tried marking things on a calendar, but frequently I forgot to mark down the days so that plan didn't work too well. So, I came up with something that has been working well for about 4 months now.
I took a regular piece of paper, folded it in half and created three boxes by drawing lines. The first, and largest box, is labeled "NEEDS". The second box is labeled "ONCE" and the third box is labeled "FINISHED". Inside the finished box, I have an area labeled "NOT TOMORROW".
At the beginning of each day, I move all the appropriate drops to the "NEEDS" section. Then as I give her a drop during the day, I either move it to the "ONCE" section or the "FINISHED" section depending on if she gets the drop once or twice a day. If it is an "every other" medicine and it is done for the day, I move it to the "NOT TOMORROW" section. That way I know not to put that eye drop in the "NEEDS" section the next day. Instead, the next morning, I move it to the "FINISHED" section so I will give it to her the next day. It is hard system to explain, but it has worked very well for us so far.
I have also color coded all the drops so I can figure out if they go in the left eye, the right eye or both.
A few people have asked me why Luna is on Tacrolimus & Cyclosporine in her left eye. To be perfectly honest with you I don't know. I asked the eye vet and she gave me a perfectly reasonable answer, however, I can't recall what it is.
On paper, it seems like I am sticking a drop in Luna's eye every hour of the day, and I probably come close to it, but Luna is an absolute trooper about taking her drops. She sees me coming with a bottle of drops and she just sits down and waits for me to plop it in her eye. I think she doesn't mind the drops because ultimately they make her more comfortable. A chronically dry eye is irritating and can become very painful. But the drops keep her eyes moist and make her more comfortable. And if you miss a few drops a day it is amazing how dry her eyes can get. Luna sees the drops as a good thing, not as a bad thing.
Cost wise, the drop regime adds up quickly. The KCS Solution and Tacrolimus are each $48.00 a bottle. The Cyclosporine is $42.00. The cheapest is the Pilocarpine at $22.00 a bottle. Luckily we can get the Genteal over the counter for about $9.00.
But seeing the difference they make in little Luna's eyes makes the cost and the crazy systems all worth it.
Tuesday, June 1, 2010
Getting the pathology results on Friday helped us enjoy the holiday weekend. Benny started feeling better and was almost back to himself and after just one day of Luna's new eye drop, we started to see an improvement in her eye. Both of those things were very relieving and helped make for a relaxing weekend.
Good news, good friends, family and fun. Those were the ingredients of our much needed and much enjoyed holiday weekend.
Friday, May 28, 2010
We just received the pathology results for Benny's mast cell tumor. It came back as a Grade II tumor with clean margins. I am so very relieved that we got clean margins. I was hoping that it would come back a Grade I, but I knew that was highly unlikely. I am very happy it is a Grade II and not a Grade III.
In any case, our next course of action is to keep a very close eye on Benny to see if any other tumors develop. Which just means more petting or him.
And for those who like to see the gory details, here is a picture of Benny's incision. It was taken in low light with my phone, so it isn't the greatest picture, but it gives you a good idea of the size of the incision.
It is such a relief to know that the vet got clean margins. Hopefully, there won't be any more tumors popping up on Benny anytime soon.
Enjoy the holiday weeekend!
Friday, May 28, 2010
Things went fairly well at the eye vet yesterday with Luna. Luna was a trooper as always.
The eye vet agreed that Luna's right eye is extremely dry. However, she noted that it is not because Luna is not producing tears (Luna tested at an 8 in her left eye on the Schirmer Tear Test this visit). It is because of all of the built up scar tissue on the eye.
So, we have added one more drop to our arsenal and have been instructed to give Luna the Genteal drops as often and as frequently as needed. The Genteal drops will help keep her eye moist.
The good news is her right eye is doing great. There have been no changes since our last visit, which is extremely good news.
I hope everyone has a fun and safe holiday weekend! Perhaps some lucky puggies out there will get to crash a few barbecues. 
Thursday, May 27, 2010
Luna goes to the eye vet this morning for her usual checkup. I know the news is not going to be good. Her left eye has very low tear production and despite our best efforts we have not been able to get it to improve. We have been tweaking her drops, trying new medicines but nothing seems to work. There is just too much scar tissue on the eye for anything to be effective. So, we have been giving her lots of Genteal Severe Dry Eye Relief drops to help keep some moisture in her eye.
I'm anxious to hear what the eye vet suggests as our next steps because the drops no longer seem to be working in her left eye. They worked well for a few years, but starting late last year they have gradually started becoming less and less effective.
The good news is that her right eye seems to be staying the same. She appears to have good tear production in that eye and the current treatment appears to be working well. That is very good news because that is her "good eye", the one that pretty much gives her all of her vision.
I'll let you know how everything goes.
Wednesday, May 26, 2010
One good thing to come out of Monday's sedation/surgery is that Benjamin got a very good toenail clipping. There was no fight, no fuss, no Cheerio negotiations, no "We'll do the back ones another day". Just a nice, short toenail trimming. However, I'm sure he is expecting some Cheerio back pay.
Tuesday, May 25, 2010
Yesterday, we dropped Benny at the vet to have a chest x-ray taken. Benny, has been coughing every now and again and after Solsey's chronic cough we are paranoid whenever one of the pugs coughs. So, last week we made an appointment to talk to our vet. We explained the situation and our paranoia and our vet thought that the best course of action would be to bring Benny in one morning and they could lightly sedate him and get a good chest x-ray to see what was going on.
Funny side note, Solsey never needed to be "lightly sedated" for her x-rays. She was such a good girl that they could just plop her down and she would remain completely still while they did the x-rays.
Benjamin also had a bump on his chest that we showed our vet during our appointment. He said while Benny was sedated he would take a better look and possibly aspirate it to find out what was going on.
So, we dropped Benny off yesterday morning for his procedures, hoping to find out what was causing the tickle in his throat from time to time.
Just before lunch, I got a call from the vet. I thought it was a bit early for Benny to be finished, but I thought maybe they were just running ahead of schedule. Instead of it being a vet tech, it was my vet on the other line. As soon as I heard his voice, I got nervous. The vet never calls just for an update. Sensing my nervousness, he quickly reassured me that Benny was lightly sedated and doing OK. However, they aspirated the growth on his chest and had a look at it under the microscope and it is a mast cell tumor.
My stomach sank.
Since it was a mast cell tumor, my vet wanted to put Benny completely under and remove it and get it sent off for testing. I gave the go ahead and yesterday, Benny had the tumor removed from his chest.
The incision runs vertically on his chest and is closed with 10 stitches. It is in a really awkward spot to bandage, so the vet told us to keep Benny in a t-shirt to help keep the wound clean.
Benny is still pretty wiped out from his big day, so it is a little too early to tell if he is in much pain. After we got him home, we tried to set him up on one of the dog beds, but he wanted to be on the sofa. So we made him a nice little place to rest on his favorite spot on the sofa. He has been comfortably resting ever since.
In the meantime, the waiting game has begun. We could have the pathology results back as early as Friday, but more than likely we won't know anything until after the holiday weekend.
Needless to say, I am sick with worry. We don't have a great track record of getting good news with pathology reports. However, I am hoping that our luck will change.
As far as the chest x-rays are concerned, Benjamin's trachea looks very good as do his lungs. However, his soft palette is elongated. This is the most likely culprit of his cough. So, after we know the pathology results and he chest incision has fully recovered it is off to the specialist to have his soft palette shortened.
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